Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot3 - STU 1 ballot International flag

Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

: 11232013 Rosiglitazone monotherapy is effective in patients with type 2 diabetes.

Raw ttl | Download

@prefix fhir: <http://hl7.org/fhir/> .
@prefix mesh: <http://id.nlm.nih.gov/mesh/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Citation/267246> a fhir:Citation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "267246"] ; # 
  fhir:meta [
     fhir:versionId [ fhir:v "12" ] ;
     fhir:lastUpdated [ fhir:v "2025-10-13T12:34:35.118Z"^^xsd:dateTime ] ;
     fhir:profile ( [
       fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/journal-article-citation"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/uv/ebm/StructureDefinition/journal-article-citation>
     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Citation 267246</b></p><a name=\"267246\"> </a><a name=\"hc267246\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 12; Last updated: 2025-10-13 12:34:35+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-journal-article-citation.html\">JournalArticleCitation</a></p></div><p><b>ArtifactPublicationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-status-type active}\">Active</span></p><p><b>url</b>: <a href=\"https://fevir.net/resources/Citation/267246\">https://fevir.net/resources/Citation/267246</a></p><p><b>identifier</b>: FEvIR Object Identifier/267246, <code>https://pubmed.ncbi.nlm.nih.gov</code>/11232013</p><p><b>title</b>: 11232013 Rosiglitazone monotherapy is effective in patients with type 2 diabetes.</p><p><b>status</b>: Active</p><p><b>author</b>: Computable Publishing®: MEDLINE-to-FEvIR Converter: </p><p><b>publisher</b>: Computable Publishing LLC</p><p><b>contact</b>: <a href=\"mailto:support@computablepublishing.com\">support@computablepublishing.com</a></p><p><b>description</b>: </p><div><p>This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.</p>\n</div><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-citation-classification-type.html#citation-classification-type-fevir-platform-use\">Citation Classification Type: fevir-platform-use</a> (FEvIR Platform Use)</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-artifact-classifier medline-base}\">Medline Base</span></td></tr></table><p><b>copyright</b>: </p><div><p>https://creativecommons.org/licenses/by-nc-sa/4.0/</p>\n</div><p><b>approvalDate</b>: 2001-04-12</p><p><b>lastReviewDate</b>: 2018-11-30</p><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-classification-type citation-source}\">Citation Source</span></p><p><b>classifier</b>: <span title=\"Codes:\">MEDLINE</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-classification-type medline-owner}\">MEDLINE Citation Owner</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#owner_value NLM}\">National Library of Medicine, Index Section</span></p></blockquote><p><b>currentState</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type medline-medline}\">Medline Citation Status of Medline</span>, <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-publication-status-ppublish}\">PubMed PublicationStatus of ppublish</span></p><blockquote><p><b>statusDate</b></p><p><b>activity</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-pubstatus-pubmed}\">PubMed Pubstatus of Pubmed</span></p><p><b>period</b>: ?? --&gt; 2001-03-07 10:00:00+0000</p></blockquote><blockquote><p><b>statusDate</b></p><p><b>activity</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-pubstatus-medline}\">PubMed Pubstatus of Medline</span></p><p><b>period</b>: ?? --&gt; 2001-04-17 10:01:00+0000</p></blockquote><blockquote><p><b>statusDate</b></p><p><b>activity</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-pubstatus-entrez}\">PubMed Pubstatus of Entrez</span></p><p><b>period</b>: ?? --&gt; 2001-03-07 10:00:00+0000</p></blockquote><blockquote><p><b>citedArtifact</b></p><p><b>identifier</b>: <code>https://pubmed.ncbi.nlm.nih.gov</code>/11232013, <code>https://doi.org</code>/10.1210/jcem.86.1.7157</p><h3>Titles</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/title-type primary}\">Primary title</span></td><td><div><p>Rosiglitazone monotherapy is effective in patients with type 2 diabetes.</p>\n</div></td></tr></table><h3>Abstracts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-abstract-type primary-human-use}\">Primary human use</span></td><td><div><p>This study evaluated the efficacy and safety of rosiglitazone monotherapy in patients with type 2 diabetes. After a 4-week placebo run-in period, 493 patients with type 2 diabetes were randomized to receive rosiglitazone [2 or 4 mg twice daily (bd)] or placebo for 26 weeks. The primary end point was change in hemoglobin A(1c); other variables assessed included fasting plasma glucose, fructosamine, endogenous insulin secretion, urinary albumin excretion, serum lipids, and adverse events. Rosiglitazone (2 and 4 mg bd) decreased mean hemoglobin A(1c) relative to placebo by 1.2 and 1.5 percentage points, respectively, and reduced fasting plasma glucose concentrations relative to placebo by 3.22 and 4.22 mmol/L, respectively. Fasting plasma insulin and insulin precursor molecules decreased significantly. Homeostasis model assessment estimates indicate that rosiglitazone (2 and 4 mg bd) reduced insulin resistance by 16.0% and 24.6%, respectively, and improved ss-cell function over baseline by 49.5% and 60.0%, respectively. Urinary albumin excretion decreased significantly in the rosiglitazone (4 mg bd) group. There was no increase in adverse events with rosiglitazone. In the short-term, rosiglitazone is an insulin sensitizer that is effective and safe as monotherapy in patients with type 2 diabetes who are inadequately controlled by lifestyle interventions.</p>\n</div></td></tr></table><blockquote><p><b>relatesTo</b></p><p><b>type</b>: Correction In</p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D016425}\">Published Erratum</span></p><p><b>citation</b>: </p><div><p>J Clin Endocrinol Metab 2001 Apr;86(4):1659</p>\n</div></blockquote><blockquote><p><b>relatesTo</b></p><p><b>type</b>: Correction In</p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D016425}\">Published Erratum</span></p><p><b>citation</b>: </p><div><p>J Clin Endocrinol Metab. 2002 Feb;2(1):iv.</p>\n</div></blockquote><blockquote><p><b>publicationForm</b></p><blockquote><p><b>publishedIn</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/published-in-type D020492}\">Periodical</span></p><p><b>identifier</b>: Print ISSN Type/0021-972X, ISOAbbreviation/J Clin Endocrinol Metab, ISSN Linking/0021-972X, Medline Title Abbreviation/J Clin Endocrinol Metab, NLM Unique ID/0375362</p><p><b>title</b>: The Journal of clinical endocrinology and metabolism</p><p><b>publisherLocation</b>: United States</p></blockquote><p><b>citedMedium</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-medium print}\">Print</span></p><p><b>volume</b>: 86</p><p><b>issue</b>: 1</p><p><b>articleDate</b>: 2001-01</p><p><b>pageString</b>: 280-8</p></blockquote><h3>WebLocations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Classifier</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/artifact-url-classifier abstract}\">Abstract</span></td><td><a href=\"https://pubmed.ncbi.nlm.nih.gov/11232013/\">https://pubmed.ncbi.nlm.nih.gov/11232013/</a></td></tr></table><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type publishing-model}\">Publishing Model</span></p><p><b>classifier</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-artifact-classifier Print}\">Print</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type chemical}\">Chemical</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D001786}\">Blood Glucose</span>, <span title=\"Codes:{https://www.nlm.nih.gov/mesh D007004}\">Hypoglycemic Agents</span>, <span title=\"Codes:{https://www.nlm.nih.gov/mesh D013844}\">Thiazoles</span>, <span title=\"Codes:{https://www.nlm.nih.gov/mesh D045162}\">Thiazolidinediones</span>, <span title=\"Codes:{https://www.cas.org/support/documentation/chemical-substances 05V02F2KDG}, {https://www.nlm.nih.gov/mesh D000077154}\">Rosiglitazone</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">MeSH heading</span></p><p><b>artifactAssessment</b>: <a href=\"#hc267246/meshHeading0\">ArtifactAssessment: artifact[x] = this resource</a></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type publication-type}\">Publication type</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D016430}\">Clinical Trial</span>, <span title=\"Codes:{https://www.nlm.nih.gov/mesh D016428}\">Journal Article</span>, <span title=\"Codes:{https://www.nlm.nih.gov/mesh D016448}\">Multicenter Study</span>, <span title=\"Codes:{https://www.nlm.nih.gov/mesh D016449}\">Randomized Controlled Trial</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type knowledge-artifact-type}\">Knowledge Artifact Type</span></p><p><b>classifier</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-artifact-classifier D016428}\">Journal Article</span></p><p><b>artifactAssessment</b>: Classifier added by Computable Publishing LLC</p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type citation-subset}\">Citation subset</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#citationsubset IM}\">IM</span></p></blockquote><blockquote><p><b>contributorship</b></p><p><b>complete</b>: true</p><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267246/contributor0\">Lebovitz HE</a></p><p><b>forenameInitials</b>: HE</p><p><b>affiliation</b>: Department of Medicine, State University of New York, Brooklyn, New York 11203, USA. hlebovitz@attglobal.net</p></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267246/contributor1\">Dole JF</a></p><p><b>forenameInitials</b>: JF</p></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267246/contributor2\">Patwardhan R</a></p><p><b>forenameInitials</b>: R</p></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267246/contributor3\">Rappaport EB</a></p><p><b>forenameInitials</b>: EB</p></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267246/contributor4\">Freed MI</a></p><p><b>forenameInitials</b>: MI</p></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267246/contributor5\">Rosiglitazone Clinical Trials Study Group</a></p></blockquote></blockquote></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #contributor0</b></p><a name=\"267246/contributor0\"> </a><a name=\"hc267246/contributor0\"> </a><p><b>name</b>: H E Lebovitz </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #contributor1</b></p><a name=\"267246/contributor1\"> </a><a name=\"hc267246/contributor1\"> </a><p><b>name</b>: J F Dole </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #contributor2</b></p><a name=\"267246/contributor2\"> </a><a name=\"hc267246/contributor2\"> </a><p><b>name</b>: R Patwardhan </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #contributor3</b></p><a name=\"267246/contributor3\"> </a><a name=\"hc267246/contributor3\"> </a><p><b>name</b>: E B Rappaport </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #contributor4</b></p><a name=\"267246/contributor4\"> </a><a name=\"hc267246/contributor4\"> </a><p><b>name</b>: M I Freed </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Organization #contributor5</b></p><a name=\"267246/contributor5\"> </a><a name=\"hc267246/contributor5\"> </a><p><b>name</b>: Rosiglitazone Clinical Trials Study Group</p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: ArtifactAssessment #meshHeading0</b></p><a name=\"267246/meshHeading0\"> </a><a name=\"hc267246/meshHeading0\"> </a><p><b>artifact</b>: <a href=\"#hc267246\">Citation 11232013 Rosiglitazone monotherapy is effective in patients with type 2 diabetes.</a></p><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D000368}\">Aged</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D000369}\">Aged, 80 and over</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D001786}\">Blood Glucose</span></p><p><b>freeToShare</b>: true</p><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:\">is not a major topic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000032}\">analysis</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49487}\">No</span></td></tr></table></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D003924}\">Diabetes Mellitus, Type 2</span></p><p><b>freeToShare</b>: true</p><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:\">is not a major topic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000097}\">blood</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49487}\">No</span></td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000188}\">drug therapy</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49488}\">Yes</span></td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000503}\">physiopathology</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49487}\">No</span></td></tr></table></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D004311}\">Double-Blind Method</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D005260}\">Female</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D006801}\">Humans</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D007004}\">Hypoglycemic Agents</span></p><p><b>freeToShare</b>: true</p><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:\">is not a major topic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000009}\">adverse effects</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49487}\">No</span></td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000627}\">therapeutic use</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49488}\">Yes</span></td></tr></table></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D007515}\">Islets of Langerhans</span></p><p><b>freeToShare</b>: true</p><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:\">is not a major topic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000187}\">drug effects</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49487}\">No</span></td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000503}\">physiopathology</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49487}\">No</span></td></tr></table></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D008297}\">Male</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D008875}\">Middle Aged</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D000077154}\">Rosiglitazone</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D016037}\">Single-Blind Method</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D013844}\">Thiazoles</span></p><p><b>freeToShare</b>: true</p><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:\">is not a major topic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000009}\">adverse effects</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49487}\">No</span></td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000627}\">therapeutic use</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49488}\">Yes</span></td></tr></table></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D045162}\">Thiazolidinediones</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is Major topic</span></td></tr></table></blockquote></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:contained ( [
     a fhir:Practitioner ;
     fhir:id [ fhir:v "contributor0" ] ;
     fhir:name ( [
       fhir:family [ fhir:v "Lebovitz" ] ;
       fhir:given ( [ fhir:v "H E" ] )
     ] )
  ] [
     a fhir:Practitioner ;
     fhir:id [ fhir:v "contributor1" ] ;
     fhir:name ( [
       fhir:family [ fhir:v "Dole" ] ;
       fhir:given ( [ fhir:v "J F" ] )
     ] )
  ] [
     a fhir:Practitioner ;
     fhir:id [ fhir:v "contributor2" ] ;
     fhir:name ( [
       fhir:family [ fhir:v "Patwardhan" ] ;
       fhir:given ( [ fhir:v "R" ] )
     ] )
  ] [
     a fhir:Practitioner ;
     fhir:id [ fhir:v "contributor3" ] ;
     fhir:name ( [
       fhir:family [ fhir:v "Rappaport" ] ;
       fhir:given ( [ fhir:v "E B" ] )
     ] )
  ] [
     a fhir:Practitioner ;
     fhir:id [ fhir:v "contributor4" ] ;
     fhir:name ( [
       fhir:family [ fhir:v "Freed" ] ;
       fhir:given ( [ fhir:v "M I" ] )
     ] )
  ] [
     a fhir:Organization ;
     fhir:id [ fhir:v "contributor5" ] ;
     fhir:name [ fhir:v "Rosiglitazone Clinical Trials Study Group" ]
  ] [
     a fhir:ArtifactAssessment ;
     fhir:id [ fhir:v "meshHeading0" ] ;
     fhir:artifact [
       a fhir:Reference ;
       fhir:l <#> ;
       fhir:reference [ fhir:v "#" ] ;
       fhir:type [
         fhir:v "Citation"^^xsd:anyURI ;
         fhir:l fhir:Citation
       ]
     ] ;
     fhir:content ( [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D000368 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D000368" ] ;
           fhir:display [ fhir:v "Aged" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D000369 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D000369" ] ;
           fhir:display [ fhir:v "Aged, 80 and over" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D001786 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D001786" ] ;
           fhir:display [ fhir:v "Blood Glucose" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000032 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000032" ] ;
             fhir:display [ fhir:v "analysis" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49487" ] ;
               fhir:display [ fhir:v "No" ]
             ] )
           ] )
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D003924 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D003924" ] ;
           fhir:display [ fhir:v "Diabetes Mellitus, Type 2" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000097 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000097" ] ;
             fhir:display [ fhir:v "blood" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49487" ] ;
               fhir:display [ fhir:v "No" ]
             ] )
           ] )
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000188 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000188" ] ;
             fhir:display [ fhir:v "drug therapy" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49488" ] ;
               fhir:display [ fhir:v "Yes" ]
             ] )
           ] )
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000503 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000503" ] ;
             fhir:display [ fhir:v "physiopathology" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49487" ] ;
               fhir:display [ fhir:v "No" ]
             ] )
           ] )
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D004311 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D004311" ] ;
           fhir:display [ fhir:v "Double-Blind Method" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D005260 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D005260" ] ;
           fhir:display [ fhir:v "Female" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D006801 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D006801" ] ;
           fhir:display [ fhir:v "Humans" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D007004 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D007004" ] ;
           fhir:display [ fhir:v "Hypoglycemic Agents" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000009 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000009" ] ;
             fhir:display [ fhir:v "adverse effects" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49487" ] ;
               fhir:display [ fhir:v "No" ]
             ] )
           ] )
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000627 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000627" ] ;
             fhir:display [ fhir:v "therapeutic use" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49488" ] ;
               fhir:display [ fhir:v "Yes" ]
             ] )
           ] )
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D007515 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D007515" ] ;
           fhir:display [ fhir:v "Islets of Langerhans" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000187 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000187" ] ;
             fhir:display [ fhir:v "drug effects" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49487" ] ;
               fhir:display [ fhir:v "No" ]
             ] )
           ] )
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000503 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000503" ] ;
             fhir:display [ fhir:v "physiopathology" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49487" ] ;
               fhir:display [ fhir:v "No" ]
             ] )
           ] )
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D008297 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D008297" ] ;
           fhir:display [ fhir:v "Male" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D008875 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D008875" ] ;
           fhir:display [ fhir:v "Middle Aged" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D000077154 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D000077154" ] ;
           fhir:display [ fhir:v "Rosiglitazone" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D016037 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D016037" ] ;
           fhir:display [ fhir:v "Single-Blind Method" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D013844 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D013844" ] ;
           fhir:display [ fhir:v "Thiazoles" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is not a major topic" ]
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000009 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000009" ] ;
             fhir:display [ fhir:v "adverse effects" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49487" ] ;
               fhir:display [ fhir:v "No" ]
             ] )
           ] )
         ] )
       ] [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:coding ( [
             a mesh:Q000627 ;
             fhir:system [
               fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
               fhir:l <https://www.nlm.nih.gov/mesh>
             ] ;
             fhir:code [ fhir:v "Q000627" ] ;
             fhir:display [ fhir:v "therapeutic use" ]
           ] )
         ] ) ;
         fhir:component ( [
           fhir:type [
             fhir:text [ fhir:v "is Major topic" ]
           ] ;
           fhir:classifier ( [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"^^xsd:anyURI ;
                 fhir:l <http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl>
               ] ;
               fhir:code [ fhir:v "C49488" ] ;
               fhir:display [ fhir:v "Yes" ]
             ] )
           ] )
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] ) ;
         fhir:text [ fhir:v "components (if present) include qualifier codings" ]
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D045162 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D045162" ] ;
           fhir:display [ fhir:v "Thiazolidinediones" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:freeToShare [ fhir:v true ] ;
       fhir:component ( [
         fhir:type [
           fhir:text [ fhir:v "qualifier" ]
         ] ;
         fhir:classifier ( [
           fhir:text [ fhir:v "is Major topic" ]
         ] )
       ] )
     ] )
  ] ) ; # 
  fhir:extension ( [
     fhir:url [
       fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status>
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-status-type"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-status-type>
         ] ;
         fhir:code [ fhir:v "active" ] ;
         fhir:display [ fhir:v "Active" ]
       ] )
     ]
  ] ) ; # 
  fhir:url [
     fhir:v "https://fevir.net/resources/Citation/267246"^^xsd:anyURI ;
     fhir:l <https://fevir.net/resources/Citation/267246>
  ] ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
         ] ;
         fhir:code [ fhir:v "ACSN" ] ;
         fhir:display [ fhir:v "Accession ID" ]
       ] ) ;
       fhir:text [ fhir:v "FEvIR Object Identifier" ]
     ] ;
     fhir:system [
       fhir:v "https://fevir.net/FOI"^^xsd:anyURI ;
       fhir:l <https://fevir.net/FOI>
     ] ;
     fhir:value [ fhir:v "267246" ] ;
     fhir:assigner [
       fhir:display [ fhir:v "Computable Publishing LLC" ]
     ]
  ] [
     fhir:system [
       fhir:v "https://pubmed.ncbi.nlm.nih.gov"^^xsd:anyURI ;
       fhir:l <https://pubmed.ncbi.nlm.nih.gov>
     ] ;
     fhir:value [ fhir:v "11232013" ]
  ] ) ; # 
  fhir:title [ fhir:v "11232013 Rosiglitazone monotherapy is effective in patients with type 2 diabetes."] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:author ( [
     fhir:name [ fhir:v "Computable Publishing®: MEDLINE-to-FEvIR Converter" ]
  ] ) ; # 
  fhir:publisher [ fhir:v "Computable Publishing LLC"] ; # 
  fhir:contact ( [
     fhir:telecom ( [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "support@computablepublishing.com" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide."] ; # 
  fhir:useContext ( [
     fhir:code [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/citation-classification-type"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/citation-classification-type>
       ] ;
       fhir:code [ fhir:v "fevir-platform-use" ] ;
       fhir:display [ fhir:v "FEvIR Platform Use" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/citation-artifact-classifier"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/citation-artifact-classifier>
         ] ;
         fhir:code [ fhir:v "medline-base" ] ;
         fhir:display [ fhir:v "Medline Base" ] ;
         fhir:userSelected [ fhir:v false ]
       ] )
     ]
  ] ) ; # 
  fhir:copyright [ fhir:v "https://creativecommons.org/licenses/by-nc-sa/4.0/"] ; # 
  fhir:approvalDate [ fhir:v "2001-04-12"^^xsd:date] ; # 
  fhir:lastReviewDate [ fhir:v "2018-11-30"^^xsd:date] ; # 
  fhir:classification ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/citation-classification-type"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/citation-classification-type>
         ] ;
         fhir:code [ fhir:v "citation-source" ] ;
         fhir:display [ fhir:v "Citation Source" ]
       ] )
     ] ;
     fhir:classifier ( [
       fhir:text [ fhir:v "MEDLINE" ]
     ] )
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/citation-classification-type"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/citation-classification-type>
         ] ;
         fhir:code [ fhir:v "medline-owner" ] ;
         fhir:display [ fhir:v "MEDLINE Citation Owner" ]
       ] )
     ] ;
     fhir:classifier ( [
       fhir:coding ( [
         fhir:system [
           fhir:v "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#owner_value"^^xsd:anyURI ;
           fhir:l <https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#owner_value>
         ] ;
         fhir:code [ fhir:v "NLM" ] ;
         fhir:display [ fhir:v "National Library of Medicine, Index Section" ] ;
         fhir:userSelected [ fhir:v false ]
       ] )
     ] )
  ] ) ; # 
  fhir:currentState ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/citation-status-type>
       ] ;
       fhir:code [ fhir:v "medline-medline" ] ;
       fhir:display [ fhir:v "Medline Citation Status of Medline" ]
     ] )
  ] [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/citation-status-type>
       ] ;
       fhir:code [ fhir:v "pubmed-publication-status-ppublish" ] ;
       fhir:display [ fhir:v "PubMed PublicationStatus of ppublish" ]
     ] )
  ] ) ; # 
  fhir:statusDate ( [
     fhir:activity [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/citation-status-type>
         ] ;
         fhir:code [ fhir:v "pubmed-pubstatus-pubmed" ] ;
         fhir:display [ fhir:v "PubMed Pubstatus of Pubmed" ]
       ] )
     ] ;
     fhir:period [
       fhir:end [ fhir:v "2001-03-07T10:00:00.000Z"^^xsd:dateTime ]
     ]
  ] [
     fhir:activity [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/citation-status-type>
         ] ;
         fhir:code [ fhir:v "pubmed-pubstatus-medline" ] ;
         fhir:display [ fhir:v "PubMed Pubstatus of Medline" ]
       ] )
     ] ;
     fhir:period [
       fhir:end [ fhir:v "2001-04-17T10:01:00.000Z"^^xsd:dateTime ]
     ]
  ] [
     fhir:activity [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/citation-status-type>
         ] ;
         fhir:code [ fhir:v "pubmed-pubstatus-entrez" ] ;
         fhir:display [ fhir:v "PubMed Pubstatus of Entrez" ]
       ] )
     ] ;
     fhir:period [
       fhir:end [ fhir:v "2001-03-07T10:00:00.000Z"^^xsd:dateTime ]
     ]
  ] ) ; # 
  fhir:citedArtifact [
     fhir:identifier ( [
       fhir:system [
         fhir:v "https://pubmed.ncbi.nlm.nih.gov"^^xsd:anyURI ;
         fhir:l <https://pubmed.ncbi.nlm.nih.gov>
       ] ;
       fhir:value [ fhir:v "11232013" ]
     ] [
       fhir:system [
         fhir:v "https://doi.org"^^xsd:anyURI ;
         fhir:l <https://doi.org>
       ] ;
       fhir:value [ fhir:v "10.1210/jcem.86.1.7157" ]
     ] ) ;
     fhir:title ( [
       fhir:type ( [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/title-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/title-type>
           ] ;
           fhir:code [ fhir:v "primary" ] ;
           fhir:display [ fhir:v "Primary title" ]
         ] )
       ] ) ;
       fhir:text [ fhir:v "Rosiglitazone monotherapy is effective in patients with type 2 diabetes." ]
     ] ) ;
     fhir:abstract ( [
       fhir:type ( [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-abstract-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-abstract-type>
           ] ;
           fhir:code [ fhir:v "primary-human-use" ] ;
           fhir:display [ fhir:v "Primary human use" ]
         ] )
       ] ) ;
       fhir:text [ fhir:v "This study evaluated the efficacy and safety of rosiglitazone monotherapy in patients with type 2 diabetes. After a 4-week placebo run-in period, 493 patients with type 2 diabetes were randomized to receive rosiglitazone [2 or 4 mg twice daily (bd)] or placebo for 26 weeks. The primary end point was change in hemoglobin A(1c); other variables assessed included fasting plasma glucose, fructosamine, endogenous insulin secretion, urinary albumin excretion, serum lipids, and adverse events. Rosiglitazone (2 and 4 mg bd) decreased mean hemoglobin A(1c) relative to placebo by 1.2 and 1.5 percentage points, respectively, and reduced fasting plasma glucose concentrations relative to placebo by 3.22 and 4.22 mmol/L, respectively. Fasting plasma insulin and insulin precursor molecules decreased significantly. Homeostasis model assessment estimates indicate that rosiglitazone (2 and 4 mg bd) reduced insulin resistance by 16.0% and 24.6%, respectively, and improved ss-cell function over baseline by 49.5% and 60.0%, respectively. Urinary albumin excretion decreased significantly in the rosiglitazone (4 mg bd) group. There was no increase in adverse events with rosiglitazone. In the short-term, rosiglitazone is an insulin sensitizer that is effective and safe as monotherapy in patients with type 2 diabetes who are inadequately controlled by lifestyle interventions." ]
     ] ) ;
     fhir:relatesTo ( [
       fhir:type [ fhir:v "correction-in" ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D016425 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D016425" ] ;
           fhir:display [ fhir:v "Published Erratum" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:citation [ fhir:v "J Clin Endocrinol Metab 2001 Apr;86(4):1659" ]
     ] [
       fhir:type [ fhir:v "correction-in" ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D016425 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D016425" ] ;
           fhir:display [ fhir:v "Published Erratum" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:citation [ fhir:v "J Clin Endocrinol Metab. 2002 Feb;2(1):iv." ]
     ] ) ;
     fhir:publicationForm ( [
       fhir:publishedIn [
         fhir:type [
           fhir:coding ( [
             fhir:system [
               fhir:v "http://terminology.hl7.org/CodeSystem/published-in-type"^^xsd:anyURI ;
               fhir:l <http://terminology.hl7.org/CodeSystem/published-in-type>
             ] ;
             fhir:code [ fhir:v "D020492" ] ;
             fhir:display [ fhir:v "Periodical" ]
           ] )
         ] ;
         fhir:identifier ( [
           fhir:type [
             fhir:coding ( [
               fhir:system [
                 fhir:v "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#issn"^^xsd:anyURI ;
                 fhir:l <https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#issn>
               ] ;
               fhir:code [ fhir:v "Print" ] ;
               fhir:display [ fhir:v "Print" ]
             ] ) ;
             fhir:text [ fhir:v "Print ISSN Type" ]
           ] ;
           fhir:system [
             fhir:v "https://portal.issn.org"^^xsd:anyURI ;
             fhir:l <https://portal.issn.org>
           ] ;
           fhir:value [ fhir:v "0021-972X" ]
         ] [
           fhir:type [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
                 fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
               ] ;
               fhir:code [ fhir:v "XX" ] ;
               fhir:display [ fhir:v "Organization identifier" ]
             ] ) ;
             fhir:text [ fhir:v "ISOAbbreviation" ]
           ] ;
           fhir:system [
             fhir:v "https://www.issn.org/services/online-services/access-to-the-ltwa/"^^xsd:anyURI ;
             fhir:l <https://www.issn.org/services/online-services/access-to-the-ltwa/>
           ] ;
           fhir:value [ fhir:v "J Clin Endocrinol Metab" ]
         ] [
           fhir:type [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
                 fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
               ] ;
               fhir:code [ fhir:v "XX" ] ;
               fhir:display [ fhir:v "Organization identifier" ]
             ] ) ;
             fhir:text [ fhir:v "ISSN Linking" ]
           ] ;
           fhir:system [
             fhir:v "https://www.issn.org/understanding-the-issn/assignment-rules/the-issn-l-for-publications-on-multiple-media/"^^xsd:anyURI ;
             fhir:l <https://www.issn.org/understanding-the-issn/assignment-rules/the-issn-l-for-publications-on-multiple-media/>
           ] ;
           fhir:value [ fhir:v "0021-972X" ]
         ] [
           fhir:type [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
                 fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
               ] ;
               fhir:code [ fhir:v "XX" ] ;
               fhir:display [ fhir:v "Organization identifier" ]
             ] ) ;
             fhir:text [ fhir:v "Medline Title Abbreviation" ]
           ] ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/tsd/cataloging/contructitleabbre.html"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/tsd/cataloging/contructitleabbre.html>
           ] ;
           fhir:value [ fhir:v "J Clin Endocrinol Metab" ]
         ] [
           fhir:type [
             fhir:coding ( [
               fhir:system [
                 fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
                 fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
               ] ;
               fhir:code [ fhir:v "XX" ] ;
               fhir:display [ fhir:v "Organization identifier" ]
             ] ) ;
             fhir:text [ fhir:v "NLM Unique ID" ]
           ] ;
           fhir:system [
             fhir:v "https://locatorplus.gov/cgi-bin/Pwebrecon.cgi?DB=local"^^xsd:anyURI ;
             fhir:l <https://locatorplus.gov/cgi-bin/Pwebrecon.cgi?DB=local>
           ] ;
           fhir:value [ fhir:v "0375362" ]
         ] ) ;
         fhir:title [ fhir:v "The Journal of clinical endocrinology and metabolism" ] ;
         fhir:publisherLocation [ fhir:v "United States" ]
       ] ;
       fhir:citedMedium [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-medium"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-medium>
           ] ;
           fhir:code [ fhir:v "print" ] ;
           fhir:display [ fhir:v "Print" ]
         ] )
       ] ;
       fhir:volume [ fhir:v "86" ] ;
       fhir:issue [ fhir:v "1" ] ;
       fhir:articleDate [ fhir:v "2001-01"^^xsd:gYearMonth ] ;
       fhir:pageString [ fhir:v "280-8" ]
     ] ) ;
     fhir:webLocation ( [
       fhir:classifier ( [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/artifact-url-classifier"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/artifact-url-classifier>
           ] ;
           fhir:code [ fhir:v "abstract" ] ;
           fhir:display [ fhir:v "Abstract" ]
         ] )
       ] ) ;
       fhir:url [
         fhir:v "https://pubmed.ncbi.nlm.nih.gov/11232013/"^^xsd:anyURI ;
         fhir:l <https://pubmed.ncbi.nlm.nih.gov/11232013/>
       ]
     ] ) ;
     fhir:classification ( [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "publishing-model" ] ;
           fhir:display [ fhir:v "Publishing Model" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/citation-artifact-classifier"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/citation-artifact-classifier>
           ] ;
           fhir:code [ fhir:v "Print" ] ;
           fhir:display [ fhir:v "Print" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "chemical" ] ;
           fhir:display [ fhir:v "Chemical" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D001786 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D001786" ] ;
           fhir:display [ fhir:v "Blood Glucose" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] [
         fhir:coding ( [
           a mesh:D007004 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D007004" ] ;
           fhir:display [ fhir:v "Hypoglycemic Agents" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] [
         fhir:coding ( [
           a mesh:D013844 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D013844" ] ;
           fhir:display [ fhir:v "Thiazoles" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] [
         fhir:coding ( [
           a mesh:D045162 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D045162" ] ;
           fhir:display [ fhir:v "Thiazolidinediones" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] [
         fhir:coding ( [
           fhir:system [
             fhir:v "https://www.cas.org/support/documentation/chemical-substances"^^xsd:anyURI ;
             fhir:l <https://www.cas.org/support/documentation/chemical-substances>
           ] ;
           fhir:code [ fhir:v "05V02F2KDG" ] ;
           fhir:userSelected [ fhir:v false ]
         ] [
           a mesh:D000077154 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D000077154" ] ;
           fhir:display [ fhir:v "Rosiglitazone" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "mesh-heading" ] ;
           fhir:display [ fhir:v "MeSH heading" ]
         ] )
       ] ;
       fhir:artifactAssessment ( [
         fhir:l <#meshHeading0> ;
         fhir:reference [ fhir:v "#meshHeading0" ] ;
         fhir:type [
           fhir:v "ArtifactAssessment"^^xsd:anyURI ;
           fhir:l fhir:ArtifactAssessment
         ]
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "publication-type" ] ;
           fhir:display [ fhir:v "Publication type" ]
         ] )
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           a mesh:D016430 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D016430" ] ;
           fhir:display [ fhir:v "Clinical Trial" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] [
         fhir:coding ( [
           a mesh:D016428 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D016428" ] ;
           fhir:display [ fhir:v "Journal Article" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] [
         fhir:coding ( [
           a mesh:D016448 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D016448" ] ;
           fhir:display [ fhir:v "Multicenter Study" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] [
         fhir:coding ( [
           a mesh:D016449 ;
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/mesh"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/mesh>
           ] ;
           fhir:code [ fhir:v "D016449" ] ;
           fhir:display [ fhir:v "Randomized Controlled Trial" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "knowledge-artifact-type" ] ;
           fhir:display [ fhir:v "Knowledge Artifact Type" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/citation-artifact-classifier"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/citation-artifact-classifier>
           ] ;
           fhir:code [ fhir:v "D016428" ] ;
           fhir:display [ fhir:v "Journal Article" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ) ;
       fhir:artifactAssessment ( [
         fhir:display [ fhir:v "Classifier added by Computable Publishing LLC" ]
       ] )
     ] [
       fhir:type [
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type>
           ] ;
           fhir:code [ fhir:v "citation-subset" ] ;
           fhir:display [ fhir:v "Citation subset" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] ;
       fhir:classifier ( [
         fhir:coding ( [
           fhir:system [
             fhir:v "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#citationsubset"^^xsd:anyURI ;
             fhir:l <https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#citationsubset>
           ] ;
           fhir:code [ fhir:v "IM" ] ;
           fhir:display [ fhir:v "IM" ] ;
           fhir:userSelected [ fhir:v false ]
         ] )
       ] )
     ] ) ;
     fhir:contributorship [
       fhir:complete [ fhir:v true ] ;
       fhir:entry ( [
         fhir:contributor [
           fhir:l <#contributor0> ;
           fhir:reference [ fhir:v "#contributor0" ] ;
           fhir:type [
             fhir:v "Practitioner"^^xsd:anyURI ;
             fhir:l fhir:Practitioner
           ] ;
           fhir:display [ fhir:v "Lebovitz HE" ]
         ] ;
         fhir:forenameInitials [ fhir:v "HE" ] ;
         fhir:affiliation ( [
           fhir:display [ fhir:v "Department of Medicine, State University of New York, Brooklyn, New York 11203, USA. hlebovitz@attglobal.net" ]
         ] )
       ] [
         fhir:contributor [
           fhir:l <#contributor1> ;
           fhir:reference [ fhir:v "#contributor1" ] ;
           fhir:type [
             fhir:v "Practitioner"^^xsd:anyURI ;
             fhir:l fhir:Practitioner
           ] ;
           fhir:display [ fhir:v "Dole JF" ]
         ] ;
         fhir:forenameInitials [ fhir:v "JF" ]
       ] [
         fhir:contributor [
           fhir:l <#contributor2> ;
           fhir:reference [ fhir:v "#contributor2" ] ;
           fhir:type [
             fhir:v "Practitioner"^^xsd:anyURI ;
             fhir:l fhir:Practitioner
           ] ;
           fhir:display [ fhir:v "Patwardhan R" ]
         ] ;
         fhir:forenameInitials [ fhir:v "R" ]
       ] [
         fhir:contributor [
           fhir:l <#contributor3> ;
           fhir:reference [ fhir:v "#contributor3" ] ;
           fhir:type [
             fhir:v "Practitioner"^^xsd:anyURI ;
             fhir:l fhir:Practitioner
           ] ;
           fhir:display [ fhir:v "Rappaport EB" ]
         ] ;
         fhir:forenameInitials [ fhir:v "EB" ]
       ] [
         fhir:contributor [
           fhir:l <#contributor4> ;
           fhir:reference [ fhir:v "#contributor4" ] ;
           fhir:type [
             fhir:v "Practitioner"^^xsd:anyURI ;
             fhir:l fhir:Practitioner
           ] ;
           fhir:display [ fhir:v "Freed MI" ]
         ] ;
         fhir:forenameInitials [ fhir:v "MI" ]
       ] [
         fhir:contributor [
           fhir:l <#contributor5> ;
           fhir:reference [ fhir:v "#contributor5" ] ;
           fhir:type [
             fhir:v "Organization"^^xsd:anyURI ;
             fhir:l fhir:Organization
           ] ;
           fhir:display [ fhir:v "Rosiglitazone Clinical Trials Study Group" ]
         ]
       ] )
     ]
  ] . #